Dr. José Miguel Cantera García areas of expertise:

Professional statement

Eminent specialist in Oral and Maxillofacial Surgery, Dr. Garcia Cantera is a Doctor of Medicine and Surgery residency in oral and maxillofacial surgery at the University of Valladolid. Medical Assistant in the Department of Maxillofacial Surgery, University Hospital Rio Hortega. Among his achievements include being the first surgeon Maxillofacial who gets the appointment of Academic Correspondent of the Royal Academy of Medicine and Surgery of Valladolid. Director of radioactive facilities for diagnosis, interventional level, CIEMAT. Currently, has its own clinic of Oral Surgery, Maxillofacial and Aesthetic at Valladolid.

Credentials

• More than 15 years of experience• Medical Assistant in the Department of Maxillofacial Surgery, University Hospital Rio Hortega of Valladolid • GP of Spanish National Health System• Director and Specialist Clinic Oral Surgery, Maxillofacial and Aesthetic Clinic Dr. Garcia Cantera in Valladolid• Director of radioactive facilities for diagnosis, interventional level, CIEMAT ...

Sub-specialties

• Implantology• Orthognathic surgery • Surgery Sleep Apnea ...

Teaching posts

• Honorary Professor, Department of Surgery, Faculty of Medicine, University of Valladolid (1989 and 1996)

Education

• Internal tenured student of the Academy of Internal Students of the University of Valladolid• Bachelor of Medicine and Surgery, with outstanding rating from the University of Valladolid • GP of Spanish National Health System• GP of Public Social Security System of the European Economic Community• Oral and Maxillofacial Surgeon by opposition MIR• Doctor of Medicine and Surgery rated "Apto Cum Laude"• European Board on Oral and Maxillofacial Surgery obtained in Münster (Germany)• University Expert in Quality Management of Health Centres ...

Prizes and awards

• Maxillofacial surgeon who first obtained the appointment of Academic Correspondent of the Royal Academy of Medicine and Surgery of Valladolid

Diseases, Medical Tests and Treatments

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A dental implant is an artificial fixing piece in the jawbone to replace the root of a missing tooth. To implement it, the dentist should stick a titaA dental implant is an artificial fixing piece in the jawbone to replace the root of a missing tooth. To implement it, the dentist should stick a titanium screw into the jawbone, on which after a prosthetic crown (artificial tooth) is placed. This surgery can be classified into various types, according to the phases in which it is carried out: immediate dental implants, when the implant is placed immediately after tooth extraction to shortening the rehabilitation time and avoiding a second surgery; Recent dental implants, when between extraction and implant elapse between six and eight weeks; delayed implantation, when the dentist makes a regeneration of bone first, then wait for the implant about six months; and mature dental implants, if it has been more than nine months between the two phases.
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Microsurgical facial reconstruction surgery encompasses various techniques applied both in the treatment of congenital diseases as acquired diseases oMicrosurgical facial reconstruction surgery encompasses various techniques applied both in the treatment of congenital diseases as acquired diseases or sequelae of trauma that caused the loss of part of the structure of the face or functionality. Among congenital conditions that can be solved, are remarkable different kinds of facial paralysis and atrophy, which prevents adequate mobility of muscles and structures of the jaw and / or the eyes and the facial expression (for example, Syndrome Parry-Romberg, the Moebius, or Binder, among others). Microsurgery facial handles replace affected facial areas and recover both its appearance and injuries that hinder their functionality through tissue transplants individualized, muscle and nerve grafts techniques. Currently, advanced microscopic techniques transplant tissues from the same patient allow rebuilding successfully face even involve great complexity, given the nature of this area of ​​the human anatomy. Therefore, depending on each case staged several operations may be necessary to achieve completely solve the patient's pathology.
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Orthognathic surgery is surgery to correct the position of the maxilla and mandible. The objective of this procedure is to get a good fit of thes
Orthognathic surgery is surgery to correct the position of the maxilla and mandible. The objective of this procedure is to get a good fit of these two bones to improve jaw function and aesthetics of the face. This surgery is indicated for patients with dental malocclusion that can not be treated only with orthodontics. The types of corrective surgery are: mandibular advancement, when the lower teeth and chin are lagging behind the rest of the face; closing the open bite, when the upper and lower teeth do not contact to shut up and leave a space; and jaw asymmetry, when the chin and teeth deviate sideways. To find out which treatment is most appropriate, a study is carried out in three dimensions with x rays. The images allow to know what area should be operated and perform process simulation. Before the intervention, the individual must bear fixtures for a while so that the teeth fit together when the jaws have been put in place with the intervention.
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The temporomandibular joint (TMJ) is the one that allows people to open and close the mouth to chew, chew, speaking, breathing, yawning or gesture. This joint connects the bones of the skull and face is twofold, ie, one on each side of the head. Performs three types of movement up and down, forward, backward and both sides. The dental malocclusion, orthodontic appliances, stress and bad habits such as clenching or bite objects can alter the function of the temporomandibular joint (TMJ), which occurs when the opening and closing of the mouth is made with lateral deviations. This syndrome can cause pain in the jaw, ears, head, neck, back, plus trouble chewing. TMJ Treatment is aimed at addressing the causes that have caused the disorder and improve symptoms, and may include physical therapy, exercise, medication, relaxation techniques, mouth guards and surgery, although it is rare.
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Cleft palate, also known as cleft palate is a congenital deformity of the mouth caused by an abnormality in the first months of fetal development. It is an incomplete development of the palate, that can be opened to such a large degree that it extends even to the nasal cavity. This open space between mouth and nose can affect both sides of the palate and, in more serious cases, spread to the throat. Therefore, depending on the case, cleft palate can cause difficulties for the patient if you do not operate in the first months of life and throat infections, delayed language and speech, functional difficulty eating and breathing. Generally, the surgical correction of cleft palate is usually performed before 18 months of age to prevent further complications and restore both physical appearance of the patient and the development of his mouth and palate.
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What is a dental implant maintenance?
The care of dental implants is essential for its proper functioning. If they are not properly fixed as they are natural teeth can develop gum inflammation, infections and loss of bone mass. In addition to the periodontal disease of implants, known as periimplantitis, in which inflammation and infection occurs around. The maintenance of dental implants is the set of care that should be followed by a patient who has been fitted with prostheses on dental implants.
The maintenance begins the same day of the placement of the definitive prostheses, by means of a control to supervise that there is a perfect balance between the teeth of the upper and lower jaw so that the implants are not forced by certain movements of the mouth.
The new teeth do not suffer decay but the gum itself could be infected by the accumulation of plaque and tartar. Therefore, the patient should brush his teeth between two and three times a day, use dental floss, rinse his mouth with antibacterial liquids, undergo regular professional checkups and cleanings and avoid tobacco.
Brushing is one of the key points to follow a good maintenance of dental implants
Recommendations for proper maintenance of dental implants
The first essential recommendation is to go to the dentist annually, since the new teeth do not suffer decay but the gum itself could be infected by the accumulation of plaque and tartar. Therefore, the patient should brush his teeth between two and three times a day, use dental floss, rinse his mouth with antibacterial liquids, undergo regular professional checkups and cleanings and avoid tobacco.
What will be the revisions made by the specialist?
It is essential that the specialist perform periodic x-rays to verify that the level of bone around the implants is adequate. In addition, you should also evaluate the state of the dental restorations around the implant, to verify that they are safe and work properly.
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What are zygomatic implants?
Zygomatic implants are those that are placed in the bone of the cheekbone in patients who suffer atrophy in the jawbone, that is, a severe loss of this. They allow good results in terms of function and aesthetics.
How is the intervention developed?
The procedure consists of two parts; In the first of these, a provisional dental prosthesis is placed and, in the second, the definitive prosthesis is placed. The technique is developed so that the implant is inserted into the zygoma or bone of the cheekbone, without the need for bone grafts and always carried out by a specialist in dentistry. Recovery takes between 24 and 48 hours.
Zygomatic implants are ideal for patients with absence of maxillary bone
For what type of patients are they indicated?
It is an appropriate procedure for those patients who suffer a partial or total loss of the maxillary bone, who have lost their teeth at an early age or who have worn dentures for a long period of time and this has affected their facial bone structure. In addition, it is also indicated for patients who have previously suffered periodontal diseases.
Results of zygomatic implants
With these fixed implants, both the ability to chew and the facial aesthetics that is lost with the lack of teeth or maxillary bone are recovered. The process is faster because it does not require osseointegration of the affected area or hospital admission. On the other hand, the post-operative is much more favorable for the patient because the discomfort that you will notice after the intervention will be minimal, thus being able to lead a totally normal daily life. Its success is also greater because the prosthesis that is placed is fixed and is not affected by the loss of teeth or by periodontal diseases.
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The dental reconstruction consists of the replacement or repair of teeth, bones or tissue. This treatment is indicated for both the problems of damaged and worn to treat TMJ syndrome (a disorder of the jaw joint that causes headache and neck and sometimes a snap chewing) teeth. In some cases where tooth decay is severe we proceed to full mouth reconstruction and cosmetic techniques for it and combine neuromuscular dentistry. Besides, orthodontics can be used to correct the misalignment of teeth and address, then the dental restoration with porcelain veneers, dental crowns, bridges, implants and inlays.
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Facial implants are used in surgery to improve both the proportion and harmony to correct facial disfigurements and congenital malformations, or to rehabilitate or replace structures and parts of his face disfigured by trauma, injuries or accidents. Specifically, the implants used in craniofacial and maxillofacial reconstructive surgery are inserted into the area required for applications such as: straighten the structure or jaw line, which can also lead to problems of mastication; improve bone anchor, for example to advance the chin or cheekbones; provide more harmony to the area of ​​the cheeks; replace part of the disfigured face, etc. Depending on the objective to be reached with facial implants and complexity of the case, the combination of implants and dentures may be needed to rebuild the affected area.
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Facial plastic surgery is a surgical subspecialty that can be performed by maxillofacial surgeons, otolaryngologists, ophthalmologists or dermatologists trained in that area. Its objective is the correction and / or improvement of abnormalities in the face of congenital, acquired, tumor or involutionary origin, that require repair or replacement of the form and its function. Facial plastic surgery is divided, from the practical point of view, into two fields of action: reconstructive or restorative surgery and cosmetic or cosmetic surgery. Reconstructive / restorative surgery (including microsurgery) is focused on disguising the effects of an accident or trauma, congenital malformations, and tumors of the face. On the other hand, cosmetic or cosmetic surgery generally treats healthy patients and is performed with the purpose of modifying parts of the face that are not satisfactory for the patient, in order to improve their quality of life. However, there are cases with medical reasons, such as blepharoplasty or rhinoplasty.
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What are immediate loading implants?
Immediate loading implants are those in which the dental implant (screw that replaces the root of the tooth) and a provisional prosthesis are placed in a single intervention. This technique favors the healing of the bone tissue and the integration of the implants in the bone, which makes it possible to dispense with the period without fixed teeth, with the consequent aesthetic and functional advantages, because the prosthesis resting on the gums does not reduce the discomfort , so that the patient can smile and eat from the first moment.
The provisional dental prosthesis is removed when it has been three to six months since the insertion of the implants. Instead, the dentist will place the final piece that has been made so that it integrates with the rest of the patient's teeth. The intervention is carried out under local anesthesia.
For what type of patients are immediate loading implants indicated?
These types of implants are recommended for those patients who suffer the loss of one, several or all of the teeth or if they suffer a significant deterioration of them. In addition, the patient must meet certain requirements to be able to undergo the procedure. Among them, have an adequate amount and quality of bone, undergo a good periodontal maintenance and also comply with a good gingival and periodontal state of the adjacent teeth.
Immediate loading implants offer multiple advantages for the patient
How is the procedure carried out?
The implants that are placed on the patient can be a unit or a full arch. In the second case you can place between four and six implants that serve as support for a prosthesis.
The fixed prosthesis that is placed initially is provisional, and is done in this way to guarantee a correct osseointegration of the implant in the bone. Once the period has been completed according to the specialist's criteria, usually after the third month, the final fixed prosthesis is placed.
Advantages of immediate loading implants
One of the most important advantages for the patient with the placement of an immediate load implant is that it offers the possibility of continuously carrying the temporary fixed prosthesis without the need to carry the removable prosthesis, which can be annoying. In addition, it offers a progressive adaptation to the definitive prosthesis.
The patient can recover the functionality of their teeth, especially chewing, in addition to improving their phonation and aesthetics.
Some specialists even recommend immediate loading and conscious sedation to replace all the teeth with fixed teeth in just one day.
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Oral surgery is the set of surgical interventions in the mouth. One of the most frequent is applied to extract wisdom teeth, which is indicated mainly when in pain. Surgery to remove wisdom teeth is also recommended if there is infection, cyst or no space for all the teeth in the jaw. Other interventions for oral surgery are complex tooth extractions extirpation of jaw cysts, biopsies, removal of tooth roots within the bone, or implant surgery and prosthetics braces, recommended for children who have limited mobility lips and tongue be too large because the membrane holding the tongue at the bottom.
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Periodontal surgery is the technique used to treat mouth tissues affected by periodontal disease or pyorrhea, a chronic bacterial infection that attacks the gums, ligament and bone surrounding the teeth. Periodontal surgery allows the dentist to clean contaminated tissues, smooth surfaces of the tooth roots and remove damaged bags infection. Periodontal surgery can replace or rebuild damaged structures using similar materials to transplant the bone and gum tissue lost. In this way, you can get your gums back to stick to the base of the teeth. Surgery should be accompanied by a periodontal maintenance after as an adjunct.
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The implant prosthesis are implant prosthesis, that is, prostheses are fastened in dental implants. Implantosoportda to wear a prosthesis, the patient must undergo prior to surgery. This type of prosthesis can be fixed or removable.
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Wisdom tooth is the name by which he is commonly known to the third molar. This ridge usually appears between 16 and 25 years old. Wisdom teeth appear at the back of the mouth. There may be up to four chordal, one for each quadrant mouth. Wisdom teeth usually affect other teeth to grow, pushing and causing severe pain. When this occurs we proceed to the extraction of teeth, it is currently the only remedy for toothache.
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